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Individual

MRS. BRIANNA BLANKENBICKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, IBCLC, ICCE

Contact information

Practice address
260 KILMER LN, MOORESVILLE, NC 28115-9080
(412) 718-7789
Mailing address
260 KILMER LN, MOORESVILLE, NC 28115-9080

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
284640
NC
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
L-301401
NC

Other

Enumeration date
03/30/2022
Last updated
03/30/2022
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